Relocation Questionnaire Please complete the following Relocation Questionnaire so I can get a better understanding of the type of home you are searching for. Please advise below as to the preferred time for me to call and reach you. Thanking You in Advance!! Name* First Last Address Street Address Address Line 2 City AlbertaBritish ColumbiaManitobaNew BrunswickNewfoundland & LabradorNorthwest TerritoriesNova ScotiaNunavutOntarioPrince Edward IslandQuebecSaskatchewanYukon Province Postal Code Phone*FaxEmail* Date of Transfer Date of House Hunting Trip Is this home you are purchasing a First Home?YesNoIs this home you are purchasing a home for retirement?YesNoHave you ever owned a property before?YesNoIf so, where?Do you presently own a home?YesNoIf you own a home now, will you be selling it to move?YesNoStyle of home preferred: Bungalow Two Story Split Level Duplex Condo/Town Apt/Rental Farm Hobby Farm Investment Properties Vacant Land Semi Detached No. of Bedrooms12345678910No. of Bathrooms12345Please select features you would like in your new home: Dining Room Eat-in Kitchen Family Room Rec Room Den or Study Fenced Yard Garden Area Fireplace Garage Close to busses & shopping Other requirements for your new home:Price Range$100,000 to $150,000$150,000 to $200,000$200,000 to $250,000$250,000 to $300,000$300,000 to $350,000$450,000 to $400,000$500,000 to $450,000$450,000 to $500,000$500,000 to $600,000$600,000 to $700,000$700,000 to $800,000$800,000 to $900,000$800,000 to $1,000,000$1,000,000 and AboveCommentsPreferred Location City Rural Area Planned Community Where will you be working? Moncton Riverview Dieppe Shediac Other Distance (in km) you would not mind traveling to your workplace:Your occupationYour spouse's occupationPlease enter your children's agesTypes of School(s) English French Elementary Secondary University College Have you spoken with a mortgage specialist or broker for preapproval?YesNoif not, may I have someone contact you?YesNoEnter Any Medical Needs (i.e. wheelchair accessibility, near medical services, etc.):Recreational Needs (i.e. specific hobbies, etc.)Please add any other items you desire that may not be included in this form This iframe contains the logic required to handle Ajax powered Gravity Forms.
